These online platforms are often the most efficient way to:
Check claim status.
Submit prior authorization requests.
Update provider demographic information.
Access fee schedules and policy information.
These portals often have secure messaging or chat features, reducing the need for phone Verify eligibility calls.
Common Types of BCBS Provider Phone Numbers You’ll Encounter (and their purpose):
To illustrate the complexity, here’s a breakdown of common phone numbers and the nepal phone number list departments they serve, which vary by each BCBS company:
General Provider Services: This is often the primary number for most provider inquiries regarding eligibility, benefits, general Verify eligibility policy questions, and claim status checks (if not done via a portal).
Example (from search results):
Blue Cross NC Commercial Providers: 800-214-4844; BCBS of Michigan (Physicians and professionals): 1-800-344-8525.
Claims Department: For specific questions about a processed claim, claim adjustments, or appeals.
Example (from search results): BlueCross BlueShield of South Carolina (Health Claims): 803-264-2215 or 888-410-2227.
Prior Authorization / Utilization Management: For obtaining the most reliable and recommended approach pre-approval for certain medical services, procedures, or medications. These numbers are crucial for ensuring services are covered.
Example (from search results): BlueCross BlueShield of South Carolina (Prior Authorization – Preferred Blue): 800-334-7287; Blue Cross NC (Healthcare management and operations): 800-672-7897.
Credentialing / Network Management: For healthcare professionals looking to join the BCBS network, update their practice information, or inquire about their contract status.
Example (from search results): Blue Cross NC (Credentialing and enrollment): 800-777-1643; BCBS of Montana (General provider relations): 1-406-437-6100.
Electronic Data Interchange (EDI) Support:
For assistance with electronic claim submission, electronic remittance advice (ERA), and electronic funds transfer (EFT).
Example (from search results): BCBS of Michigan (Availity Client Services): 1-800-AVAILITY (282-4548).
Pharmacy Services: For questions related to prescription drug coverage, formularies, or specialty aqb directory pharmacy.
Example (from search results): Blue Cross NC (Retail Pharmacy): 800-624-5060; BCBS of Texas (Pharmacy help desk): 888-229-2812.